<div class="rate_block">
<form action="" onsubmit="return false;">
<label class="rate_header" for="rate_freeform_textarea">{freeform_prompt}</label>
<div class="rate_freeform_input">
  <textarea id="rate_freeform_textarea" class="rate_freeform_area" rows="4" cols="30">{self.user_freeform}</textarea>
  <div class="rate_thank_you" aria-live=polite>{response}</div>
</div>
<fieldset class="rate_likert_field">
<legend class="rate_likert_header">{likert_prompt}</legend>
<div class="rate_likert_scale">{scale}</div>
</fieldset>
<button type="submit" class="rate_submit_feedback"> Submit Feedback </button>
</form>
</div>
